Organization
HEAD TO TOE KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SRUJANI GADDAM (PRESINDET)
(321) 236-1381
Entity
Organization
Contact information
Practice address
7200 LAKE ELLENOR DR, SUITE 146, ORLANDO, FL 32809-5700
(321) 236-1381
(407) 730-6087
Mailing address
7200 LAKE ELLENOR DR, SUITE 146, ORLANDO, FL 32809-5700
(321) 236-1381
(407) 730-6087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295986537
—
FL
Enumeration date
06/05/2014
Last updated
12/15/2015
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